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April2011 Vol.48 Issue:        2        Table of Contents
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The Effect of Surface Spinal Electric Sensory Stimulation on Functional Outcome in Spastic Stroke Patients

Salah Sawan1, Foad AbdAllah2, Nevien Mohamed1, 

Montasser M. Hegazy2, Yasmin Said Gohar1

 

Departments of Neuromuscular Disorders1, Faculty of Physical Therapy;

Neurology2, Faculty of Medicine; Cairo University, Egypt

 



ABSTRACT

Objective: The purpose of this study was to examine the effect of electrical sensory stimulation applied to thoraco-lumbar region on hyper-excitable monosynaptic reflex in stroke patients. Methods: Forty stroke patients were selected from Out-patient Clinic, Faculty of Physical Therapy, Cairo University and from El Haram specialized hospital. Patients were divided into two equal groups. Patients in the study group (n = 20) received the selected physical therapy program as well as electrical sensory stimulation to the thoraco-lumbar region where as patients in control group (n =20) received the selected physical therapy program as well as placebo electrical sensory stimulation. The following assessment including H/M ratio, dorsiflexion active range of motion and time of ten-meters walking test were measured before and after six weeks of treatment program. Results: before treatment there was no significant difference between the two groups regarding the grades of spasticity, dorsiflexion active range of motion and time of ten-meter walking test. After treatment there was a very highly significant difference between the study group and the control group regarding the grades of spasticity according to H/M ratio, highly significant difference between the study group and the control group regarding dorsiflexion active range of motion and time of ten-meter walking test. Conclusion: It can be concluded that surface electric sensory stimulation applied to thoraco-lumbar region is effective in controlling spasticity, increase dorsiflexion active range of motion of ankle and improving ten- meters walk test in stroke patients. [Egypt J Neurol Psychiat Neurosurg.  2011; 48(2): 139-144]

 

Key Words: Stroke, Spasticity, H/M ratio, Electrical sensory Stimulation, Gait.

 

 

Correspondence to Foad Abd Allah, Department of Neurology, Cairo University, Egypt.

Tel.:+20110110898. Email:foadneuro@hotmail.com.





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